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LONGS DRUG STORES CALIFORNIA, L.L.C.
CH09288I Lifelong Medical Care
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Covered Entity Details
Entity Name
Lifelong Medical Care
Subdivision Name
OVER 60 HEALTH CENTER - BERKELEY
Type
HRSA-Funded Health Center
340B ID
CH09288I
Entity Address
3260 SACRAMENTO ST
BERKELEY, CA 94702-2739
Grant Number
H80CS00808
Participating Start Date
7/1/1999
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
LONGS DRUG STORES CALIFORNIA, L.L.C.
Pharmacy Address
DBA: CVS/PHARMACY # 09553
4349 SAN PABLO AVE
EMERYVILLE, CA 94608
Pharmacy Comments
Contract Details
Approval Date
10/29/2007
Contract Begin Date
10/29/2007
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
11/19/2015
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
Contract Pharmacy Representative
Signed By Date
10/22/2007
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